Organization
RUDY'S AGAPE HOUSE, LLC
Active
Parent organization
RUDY'S AGAPE HOUSE, LLC
Other names
Rudy's Adult Day Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUDY'S AGAPE HOUSE, LLC
Authorized official
NANCY E CUSHMAN CORE (ADMINISTRATOR/OWNER)
(941) 756-0200
Entity
Organization
Contact information
Practice address
5426 18TH ST W, BRADENTON, FL 34207-3305
(941) 756-0200
(941) 460-4304
Mailing address
5426 18TH ST W, BRADENTON, FL 34207-3305
(941) 756-0200
(941) 460-4304
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
10666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004296700
—
FL
Enumeration date
01/22/2014
Last updated
01/22/2014
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